| NPI | 1679572382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.06959-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-06959) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2018-02-08 |