| NPI | 1396178034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.14266-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 14266) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2021-08-18 |