| NPI | 1932461472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 13379) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.13379-NP) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-10-26 |