| NPI | 1821452244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 297274) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.18900) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-02-04 |