| NPI | 1376004580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.024722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.410746) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-02-14 |