| NPI | 1003128422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.022384) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RX.11487-EX1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 827562) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 11487-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP122880) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-09-11 |