| NPI | 1346229218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.06664) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06664) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-06-13 |