| NPI | 1033151139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201501103NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 33115) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.03700-NP) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.03700-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201501120NP-PP) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-06-21 |