| NPI | 1770917346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 15008-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH OH 278422) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2021-10-27 |