| NPI | 1831483643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP12500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN322779) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-01-24 |