| NPI | 1952637241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN218011) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.11125-NP) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2022-09-29 |