| NPI | 1790808574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN137889 NP-05026) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OH RN137889 NS-03045) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-05-10 |