| NPI | 1265810618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.360744) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA17868NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0996479-NP) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-10-18 |