| NPI | 1922553254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP.019721) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH CNP.019721) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-11-18 |