| NPI | 1306163944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA-12162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn248447) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 266285) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2021-01-15 |