| NPI | 1215305255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 18080-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 18080-NP) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-09-16 |