| NPI | 1538589536 |
|---|---|
| Former Name | COURTNEY ANN DUBOIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.022284) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 0109992) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-04-24 |