| NPI | 1366561870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 03334 NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN 199132 COA) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-04-12 |