| NPI | 1205301884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.344104) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-01-30 |