| NPI | 1689962334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10622) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 347201) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2024-03-08 |