| NPI | 1811484280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.410598) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2022-03-21 |