NPI | 1295042950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10160) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 12242-NP) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2022-08-04 |