| NPI | 1063177459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018871) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH LE-00038170) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-12-21 |