| NPI | 1851488274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60623636) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA 05349-NP) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |