| NPI | 1649511635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA14423-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN285615) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2020-12-15 |