| NPI | 1760731590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP13909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.333035) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2018-03-17 |