| NPI | 1356358626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.06877-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 205036) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-10-05 |