| NPI | 1083819619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.00513) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RX.00513) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RX.00513) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2024-07-29 |