| NPI | 1316219397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.13124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18736) |
| 363L00000X Nurse Practitioner (Licence: OH COA.13124- NP) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2023-10-24 |