| NPI | 1629385513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA-11883-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.11883-NP) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2017-06-23 |