| NPI | 1225599566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 026068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298957) |
| 163W00000X Registered Nurse (Licence: OH 458545) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2298957) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-11-18 |