| NPI | 1992308043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH CNP.0026933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 372194) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2022-07-06 |