| NPI | 1821470089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.17507-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.381462-1) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |