| NPI | 1619149663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.17709-NP) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0700295) |
| 163W00000X Registered Nurse (Licence: OH 367336) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-07-20 |