| NPI | 1932203403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.05139-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP05139) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-08-28 |