| NPI | 1588973911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-11584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN285057) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2024-01-15 |