| NPI | 1063833382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14392) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.269003-COA1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.14392-NP) | |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2021-08-19 |