| NPI | 1427202662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9379549) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 10365-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 937954) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2024-01-03 |