| NPI | 1871687582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN-118193) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-00923) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-10-10 |