| NPI | 1023676681 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24308) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.024580) | 
| Enumeration Date | 2019-05-30 | 
| Last Update Date | 2025-09-29 |