| NPI | 1144470998 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 10249)  | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.10249)  | 
| Enumeration Date | 2008-09-29 | 
| Last Update Date | 2023-03-15 |