| NPI | 1073025250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11022094) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN.352820) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021946) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.021946) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.021946) | |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2022-10-11 |