| NPI | 1962443994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 07713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 200531) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-08-23 |