NPI | 1427298801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 762829) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 540736) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704420849) | |
Enumeration Date | 2009-02-25 |
Last Update Date | 2024-10-04 |