| NPI | 1962739029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA18079NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 773795) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 068878-23) | |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2015-11-10 |