| NPI | 1760443758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA05683NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN138375CDA) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-12-27 |