| NPI | 1972983013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA17954.NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284360) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-08-31 |