| NPI | 1710239173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.13481-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.318361-COA1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RX.13481-EX1) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |