| NPI | 1225311533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH Coa.15951-np) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2262990) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2017-04-13 |