| NPI | 1457612442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.13869) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4045629) |
| 163W00000X Registered Nurse (Licence: OH RN358987) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 13869- NP) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2025-10-09 |