| NPI | 1972831378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 11218) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 207605) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2017-03-03 |