| NPI | 1396029658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA-12650-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-325899-COA1) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2014-07-24 |