| NPI | 1508467192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0030989) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH 426678) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-11-14 |