| NPI | 1629746276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029470) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71012422A) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OH 0029470) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-07-03 |