| NPI | 1689920928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 295718) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 266094) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-04-05 |