| NPI | 1861743544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 384590) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2018-05-08 |