| NPI | 1790580686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0037707) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4010708) |
| Enumeration Date | 2025-02-15 |
| Last Update Date | 2025-02-15 |