| NPI | 1548227648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN303012) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RX07145) |
| 363L00000X Nurse Practitioner (Licence: OH NP07145) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |