| NPI | 1285293142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRNCNP024796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNOP.024796) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-11-12 |