| NPI | 1982856274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 18116) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R135472) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-07-21 |