| NPI | 1730234329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN217044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.03080-NP) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-05-18 |