| NPI | 1679005995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH aprn.cnp.021209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.371432) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRNCNP021209) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-05-18 |