| NPI | 1770845372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.10140-NP) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OH COA10140-NP) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2016-03-16 |