| NPI | 1669722914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.13848) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.13848-NP) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-06-13 |