| NPI | 1043556103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 14236NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 326129) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2017-11-13 |