| NPI | 1558679845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172598) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 11704-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN 191533 COA-1) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2019-11-20 |