| NPI | 1255713400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP17712) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.359897) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA17712-NP) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-12-13 |