| NPI | 1265701726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.12995) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 12995-NP) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2024-10-10 |