| NPI | 1629392790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH RN094868-COA1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN094868-COA1) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |