| NPI | 1093036824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 2010001411) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH 182052) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-03-09 |