| NPI | 1629359237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024170205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 291244) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2024-03-15 |