| NPI | 1720790231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRNCNP0032787) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH LE-00043711) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-28 |