| NPI | 1891394235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0027812) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 419374) |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |