| NPI | 1295077808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WY 45400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRNCNP14350) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-05-08 |