| NPI | 1356619068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12447-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN326850-COA1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RX12447-EX1) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2020-10-13 |