| NPI | 1164087730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61095811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.382825) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.025246) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-02-23 |