| NPI | 1679680631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP05044) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: OH np-05044) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-02-23 |