| NPI | 1902262736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA18464NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 18464-NP) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-03-25 |