| NPI | 1972549558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.03346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN159705) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH NP03346) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-05-20 |