| NPI | 1609906361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.08764-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.296379-COA1) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-04-26 |