| NPI | 1578195079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.025972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.415411) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-11-23 |