| NPI | 1154449312 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.09379-NP)  | 
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH 09218-NS)  | 
| Enumeration Date | 2007-03-27 | 
| Last Update Date | 2022-04-28 |