| NPI | 1740689215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA.16438-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN217829) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2021-07-27 |