| NPI | 1467488007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRNCNP04918) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0323170-21) |
| 363L00000X Nurse Practitioner (Licence: OH APRNCNP04918) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-05-24 |