| NPI | 1215415062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023279) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2361788) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 64822) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-05-11 |