| NPI | 1902867153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 05415) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN305537) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-11-05 |