| NPI | 1073954327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP14775) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.14775-NP) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2021-03-03 |