| NPI | 1083045181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026554) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2019048525) |
| 163W00000X Registered Nurse (Licence: OH 395301) | |
| Enumeration Date | 2013-11-28 |
| Last Update Date | 2020-04-10 |