| NPI | 1104649045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0038675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN722352) |
| 163W00000X Registered Nurse (Licence: OH RN.451838) | |
| 163W00000X Registered Nurse (Licence: NY 858583-01) | |
| 163W00000X Registered Nurse (Licence: HI RN-110156-0) | |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-02-11 |