| NPI | 1962018978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0027603) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH RN.274386) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-04-19 |