| NPI | 1942373881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.07824-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.07824-NP) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-06-08 |