| NPI | 1700325313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10042280) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 020526) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2025-05-28 |