| NPI | 1376028472 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 63000)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH .023678)  | 
| Enumeration Date | 2018-09-25 | 
| Last Update Date | 2025-03-11 |