| NPI | 1255430187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 223527) |
| Additional Taxonomies | 174H00000X Health Educator |
| 363L00000X Nurse Practitioner (Licence: OH COA.06464-NP) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-09-15 |