| NPI | 1982758314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP001729) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH np08561) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-02-14 |