| NPI | 1942739438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.020809) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN299717) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-05-01 |