| NPI | 1225738628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0033389) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH 0033389) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-06-17 |