| NPI | 1700802048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH COA.07928-NP) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OH RN 173677) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.07928-NP) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-10-14 |