| NPI | 1710950068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 09469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 331806) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2025-12-23 |