| NPI | 1548697683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.317762-COA1) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15231-NP) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-06-06 |