| NPI | 1023460284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0039210) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010924) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-11-24 |