| NPI | 1578752267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 304700) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH A0812095) | |
| 363L00000X Nurse Practitioner (Licence: OH COA.14022) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2016-10-03 |