| NPI | 1750534509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 08356) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RX08356) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2020-07-01 |