| NPI | 1760556856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0034631) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC A18249) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-01-27 |