| NPI | 1710099494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN-118969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-03455) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |