| NPI | 1174536379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06719) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.06719-NP) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH NP167311) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-07-26 |