| NPI | 1790023208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA14234NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA14234NP) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2020-11-13 |