NPI | 1669536934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006639) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-207463) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2025-03-20 |