| NPI | 1871728832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.10574-NP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.332163) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2022-01-25 |