| NPI | 1154093136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5015141) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015141) |
| 363L00000X Nurse Practitioner (Licence: OH 0996525) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-06-22 |