| NPI | 1801870746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.07379-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 07379) |
| 208M00000X Hospitalist (Licence: OH COA07379-NP) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-12-20 |