| NPI | 1366709099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.13280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP13280) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-10-12 |