| NPI | 1871662478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA02840NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH NP02840) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-03-13 |