| NPI | 1689989683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL 11009975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009141) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 11738) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.11738-NP) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-04-10 |