| NPI | 1982890273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP-09613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-254750) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2016-07-21 |