| NPI | 1932404530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12127-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN240142) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2014-02-12 |