| NPI | 1407442148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.435519) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95206155) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-09-19 |