| NPI | 1649558875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.125.45-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 359339) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2016-02-16 |