| NPI | 1447365952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN-138829) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-00896) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-10-08 |