| NPI | 1083676969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 10801-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 10801-NP) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-12-26 |