| NPI | 1821812793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71017324A.) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH CNP.0038067) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2025-10-28 |