| NPI | 1962876789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.18956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 362236) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2022-06-03 |