| NPI | 1093812356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 223672) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 1100892) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |