| NPI | 1811440092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 019508)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN328660)  | 
| Enumeration Date | 2016-07-25 | 
| Last Update Date | 2021-11-11 |