| NPI | 1639377419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP07679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN123065) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-01-07 |