| NPI | 1730335308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 43-43021) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 14120 NP) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2016-09-07 |