| NPI | 1992003875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP10310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7962) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2022-07-21 |