| NPI | 1770575367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH COA06517) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH CTPE06517) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-04-10 |