| NPI | 1659348522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 00552-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-151336) |
| 363L00000X Nurse Practitioner (Licence: OH RN-S99532) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-07-23 |