| NPI | 1679061675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5020094) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 022641) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-01-17 |