| NPI | 1790959161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA09956NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005735) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2017-03-28 |