| NPI | 1871906933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP-15796) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OH 137404) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |