| NPI | 1881921674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA11137NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN340379COA1) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2014-04-25 |