| NPI | 1962487314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH NP02846) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN126720) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP02846) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH RN126720) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-07-11 |