| NPI | 1417201260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA13646NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 13646-NP) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2013-04-04 |