| NPI | 1023460045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.019464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 370559) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-18 |