| NPI | 1407102726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.13587-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.338721-COA1) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2013-09-29 |