| NPI | 1922258060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP.10233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-28190) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2016-06-17 |