| NPI | 1588110779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.019875) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH RN.274825) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-10-04 |