| NPI | 1447386636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRNCNP05903) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP 05903) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2023-01-06 |