| NPI | 1013926021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 08279 NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN234221) |
| 363L00000X Nurse Practitioner (Licence: OH NP08279) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-10-29 |