| NPI | 1063816205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA16682-NP) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH COA.16682-NP) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-01-11 |