| NPI | 1790703387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP08804) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN228572) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-05-12 |