| NPI | 1942382593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.02509-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH NP 02509) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP02509) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-11-01 |