| NPI | 1457697732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2012015761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 311967) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2020-12-11 |