| NPI | 1366884876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007181) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 345172-COA1) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2015-02-06 |