| NPI | 1396764775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.16258) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH APRN.CNS.07496) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-01-30 |