| NPI | 1942606421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA16863NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 346777) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-02-11 |