| NPI | 1477292431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0031472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 31476) |
| Enumeration Date | 2022-05-28 |
| Last Update Date | 2023-05-01 |