| NPI | 1609053602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH APRN.09796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN 09796) |
| 363L00000X Nurse Practitioner (Licence: MI 4704263022) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2023-11-03 |