| NPI | 1902383235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.281218) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-31 |