| NPI | 1174944680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 338800) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 338800) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2022-02-18 |