| NPI | 1003477688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 025021) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG06190304) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-04-19 |