| NPI | 1851728679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH RN.417282) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0031937) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2025-06-20 |