| NPI | 1912171018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP15854) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH NS 07214) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2014-08-12 |