| NPI | 1821499070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA16368NP) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OH RN362726COA1) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-18 |