| NPI | 1356384374 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.08231) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.08231-NP) | 
| Enumeration Date | 2006-06-14 | 
| Last Update Date | 2017-01-27 |