| NPI | 1356674675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA-10850-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN267190) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2022-05-20 |