| NPI | 1497727085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH NP06971) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 076614-23) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-04-05 |