| NPI | 1336212570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-10736) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 785) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-04-12 |