| NPI | 1306374889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP021434) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP123456) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |