| NPI | 1134614720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.023157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 302929) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-12-09 |