| NPI | 1063524239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA05877NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN146504) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-05-11 |