| NPI | 1457424756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.09039-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN290799) |
| 363L00000X Nurse Practitioner (Licence: OH NP09039) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-12-12 |