| NPI | 1952852477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 406453) |
| 363LF0000X Nurse Practitioner Family (Licence: WI 8634) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-04-26 |