| NPI | 1295042950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10160) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 12242-NP) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2022-08-04 |