| NPI | 1366461964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH NP06552) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH NP06552) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-04-11 |