| NPI | 1366102816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.0030599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 402504) |
| Enumeration Date | 2021-12-25 |
| Last Update Date | 2025-01-08 |