| NPI | 1720044621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP05864) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN168210) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-03-03 |