| NPI | 1447213426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.06197.NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN234429) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-06-20 |