| NPI | 1558454769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.07820-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN273566) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-05-08 |