| NPI | 1558091702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031572) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 428102) |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2022-06-30 |