NPI | 1245510635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R232215) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12459-NP) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006018) | |
Enumeration Date | 2011-08-17 |
Last Update Date | 2024-04-24 |