| NPI | 1326219130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-09725) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-4130) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2025-04-24 |