| NPI | 1245510635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R232215) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12459-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006018) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2024-04-24 |