| NPI | 1093199481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.18110) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18110) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-03-08 |