| NPI | 1033580121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 18328-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH 364987) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-23 |