| NPI | 1447609599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP019481) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG0316010) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-08-16 |