| NPI | 1356763247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15682-np) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OH 308605) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-03-18 |