| NPI | 1730794983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.0027718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.401555) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-10-07 |