| NPI | 1689914087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP.13953) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 1135253) |
| 163W00000X Registered Nurse (Licence: OH RN.259883-COA1) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2018-05-17 |