| NPI | 1902318116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.021317) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 021317) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2020-02-04 |