| NPI | 1376724674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA08817NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP08817) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2017-06-21 |