| NPI | 1154549418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA. 09197-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 199738) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-01-08 |