| NPI | 1508873332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.07512) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA NP-07512) |
| 363LF0000X Nurse Practitioner Family (Licence: OH 07512) | |
| 364S00000X Clinical Nurse Specialist (Licence: OR 200770004CNS-PP) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-03-07 |