| NPI | 1770157992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0028551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN423698) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-12-15 |