| NPI | 1801100789 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP9013)  | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA11813NP)  | 
| Enumeration Date | 2010-08-03 | 
| Last Update Date | 2018-06-28 |