| NPI | 1922342849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015759) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA14050-NP) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-02-02 |