| NPI | 1790782795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024174707) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH Rn154373 NP01084) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0024174707) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2025-12-08 |