| NPI | 1700491081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 026132) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11042593) |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2025-10-24 |