| NPI | 1669920294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0994551) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019889) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 368648) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2019-04-30 |