| NPI | 1518149582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-09805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 09805) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2020-09-09 |