| NPI | 1821242272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.10301-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN306751) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2014-12-12 |