| NPI | 1376821058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2011021742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 322298) |
| 163W00000X Registered Nurse (Licence: MI 4704248935) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2016-02-25 |