| NPI | 1104556091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0031504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.392147) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |