| NPI | 1952003105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG09230050) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.502950) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-10-03 |