| NPI | 1548218092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.05092-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN229329) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-01-25 |