| NPI | 1417695420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0031781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.463971) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2023-10-23 |