| NPI | 1033462049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016001452) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA13849NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA13849NP) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.13849-NP) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2018-10-05 |