| NPI | 1205285905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.020131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 333630) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-11-03 |