| NPI | 1851600712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA15674NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 4340) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2016-12-15 |