| NPI | 1154654879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.10972-NP) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH COA.05757-NS) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2023-11-03 |