| NPI | 1841591682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.16168-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.343438) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2016-09-20 |