| NPI | 1801902689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-02236) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-179016) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-10-08 |