| NPI | 1326783580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0030963) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRNCNP.0030963) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-11-04 |