| NPI | 1407150774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H147196) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704290712) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12070-NP) | |
| 163W00000X Registered Nurse (Licence: OH RN.360566-COA1) | |
| 363L00000X Nurse Practitioner (Licence: IA H147196) | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2022-07-21 |