| NPI | 1508290339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 16129-NP) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA.12726-NS) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2014-07-03 |