| NPI | 1568094530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.026206) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 026206) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-13 |