| NPI | 1881005502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH COA.16213.NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 301389) |
| 363L00000X Nurse Practitioner (Licence: OH COA.16213.NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.16213.NP) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2017-06-05 |