| NPI | 1659610905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH CNP020234) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: OH RN345952) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2022-07-21 |