| NPI | 1619123478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.10474-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 291690) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP-10474) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH RN291690) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2015-09-16 |