| NPI | 1255848784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.024382) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP018459) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-08-07 |