| NPI | 1669652400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.021264) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.8880) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2022-07-21 |