| NPI | 1477931533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.17706) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17706) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2022-04-28 |