| NPI | 1639148752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.05002) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN225866) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-02-15 |