| NPI | 1285894246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH NP-10005) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH RN-300662) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2015-09-15 |