| NPI | 1528402765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277.002710) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 14437-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95023659) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2023-09-07 |