| NPI | 1235651530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH A1012081) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI A1012081) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2022-09-12 |