| NPI | 1811319551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308724) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15084) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-10-23 |