| NPI | 1508870692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN. 241992) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN241992) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-01-12 |