| NPI | 1205234341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.16794-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.16794) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.326367-COA1) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2025-09-19 |