| NPI | 1831742576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH LE-00029248) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH LE-00029248) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-10-31 |