| NPI | 1245964790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61428516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 0031748) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2024-03-27 |