| NPI | 1942347745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-07866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-296600) |
| 163W00000X Registered Nurse (Licence: CA RN617027) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP15313) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-04-25 |