| NPI | 1801091558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.02358) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.02358) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-08-13 |