| NPI | 1730340175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10039-NP) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: OH np 10039) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2016-07-05 |