| 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 |