| NPI | 1275647893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.04860-NP) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH RN212093) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-04-26 |