| NPI | 1730965153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0034855) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 2023084882) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-10-11 |