| NPI | 1942203997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.08314-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0337916-21) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-10-06 |