| NPI | 1386834554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2281598) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.329993-COA1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2281598) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-01-08 |