| NPI | 1538656715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 126846) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-01-11 |