| NPI | 1932164480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP07564) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07564) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-02-24 |