| NPI | 1699326140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP025993) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2019043254) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-12-09 |