| NPI | 1356884886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7913) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 020273) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2022-07-21 |