| NPI | 1528476397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CTP16147) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 16147) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-11-20 |