| NPI | 1326328980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.05112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.220326) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2017-11-15 |