| NPI | 1124215819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.16591) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA16591NP) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: KY 5323p) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2020-09-28 |