| NPI | 1487796678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.195880-COA1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.01536-NP) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |