| NPI | 1982977724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 13175NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH RN322855) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2019-05-14 |