| NPI | 1962641266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN# 122838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH CNCP# NP02032) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |