| NPI | 1336442011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 10721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 207892) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-04-08 |