| NPI | 1588042634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA18048NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 344884) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-08-28 |