| NPI | 1396058582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA-11537-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN183903) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-12-22 |