| NPI | 1841481546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA 09940 NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN292836) |
| 363L00000X Nurse Practitioner (Licence: OH 09940) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2018-02-26 |