| NPI | 1013059559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.06835-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY NP-3855P) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-01-15 |