NPI | 1366884876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007181) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 345172-COA1) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2015-02-06 |