| NPI | 1205014701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0034480) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 13235) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 13235) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-193323) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-10-10 |