| NPI | 1811249584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 13666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 341977) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2015-05-29 |