| NPI | 1366703068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH F0312153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 252899) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-01-25 |