| NPI | 1114168788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 11399 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.357461) |
| 363L00000X Nurse Practitioner (Licence: OH 11399-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN226870) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2014-03-21 |