| NPI | 1003338310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.021212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN386498) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-13 |