| NPI | 1235502303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.18395) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH rn.311985) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-01-22 |