| NPI | 1104640929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0038641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.490426) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2025-03-31 |