| NPI | 1902261944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18318-NP) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OH Coa.10052-NS) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-01-06 |