| NPI | 1811379589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.17901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 337345) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2019-02-21 |