| NPI | 1144688185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18727-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN263355) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2025-02-21 |