| NPI | 1326740572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AG07230007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN502110) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-07-07 |