| NPI | 1245350099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI A0405092) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0036283) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010726) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 13064) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 267996) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-07-23 |