| NPI | 1336244946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA-07969-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 284909-COA1) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-07-25 |