| NPI | 1770326027 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4035140) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0036768) | 
| Enumeration Date | 2024-06-14 | 
| Last Update Date | 2025-05-30 |