| NPI | 1043775943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.024179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 329385) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-06-22 |