NPI | 1578225785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027533) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0027533) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.0027533) | |
Enumeration Date | 2021-10-06 |
Last Update Date | 2025-08-30 |