| NPI | 1710549860 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.024902) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024902) | 
| Enumeration Date | 2019-06-28 | 
| Last Update Date | 2024-10-22 |