| NPI | 1124258983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9403153) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN322699) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP10756) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2017-12-11 |