| NPI | 1124363221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.14232-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.339735) |
| Enumeration Date | 2012-12-01 |
| Last Update Date | 2013-03-13 |