| NPI | 1639328032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP020372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA10230NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 10230-NP) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2020-02-28 |