| NPI | 1972580595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 07934) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-07934) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: OH 07934) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-09-15 |