| NPI | 1942471396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP09997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN293899) |
| 163W00000X Registered Nurse (Licence: MN 2476754) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9487904) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-10-04 |