| NPI | 1386024487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 17361) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 17361) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704316552) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704316552) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2016-06-28 |