| NPI | 1134443377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN280379) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH np-10973) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2019-09-30 |