| NPI | 1104380237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.09438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.331880) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |