| NPI | 1811028509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA-07985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07985) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30-304301) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-12-14 |