| NPI | 1720263841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-09491) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2016-09-02 |