| NPI | 1982937413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.10951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10951-NP) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2021-07-09 |