| NPI | 1770959314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.17963-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.17963-NP) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2023-01-02 |