| NPI | 1578897260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.11020-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.180805-COA1) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2012-05-01 |