| NPI | 1861037558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH NP.026374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.404672) |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2023-11-06 |