| NPI | 1902186851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.12570-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP12570) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2015-12-18 |