| NPI | 1083203665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0028286) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH LE-00035116) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2025-03-20 |