| NPI | 1912310160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 15804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 354570) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |