| NPI | 1639547086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP017490) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH CNP.0031256) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2025-04-16 |