| NPI | 1548597107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.12036-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN184190) |
| 363L00000X Nurse Practitioner (Licence: KY 3009618) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2022-07-21 |