| NPI | 1659378669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP-08040) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 39848) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-09 |