| NPI | 1609173152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 12146 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 251676) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2016-06-06 |