| NPI | 1215335062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16853) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16853-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.16853-NP) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2020-08-07 |