| NPI | 1760789598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12137-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.322505-COA1) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2022-02-10 |