| NPI | 1487988929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.12700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12700-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 758860) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2022-01-31 |