| NPI | 1194309948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0029163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.436129) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-10-05 |