| NPI | 1649534058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA13463-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 290743) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-01-07 |