| NPI | 1700201860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.15679) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OH COA.15679-NP) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2024-04-16 |