| NPI | 1093711988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 01162) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.01162) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2020-12-14 |