| NPI | 1639609837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.021115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.343994) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |