| NPI | 1861859118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP015825) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA.18452-NP) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2024-01-25 |