| NPI | 1316211758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH rn 292465-coa1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH np coa 12960-np) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: KY 2011012415) | |
| 163W00000X Registered Nurse (Licence: KY 1095041) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2020-04-14 |