| NPI | 1043655723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14927) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.14927-NP) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-01-23 |