| NPI | 1356577324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004381A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN328856) |
| 363L00000X Nurse Practitioner (Licence: IN 71004381A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 10863-NP) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2021-06-17 |