| NPI | 1841768207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023527) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG08180086) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-04-18 |