| NPI | 1720513088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRNCNP021257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021257) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2021-02-26 |