| NPI | 1902463573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.024825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.264016) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-04-25 |