NPI | 1801100789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP9013) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA11813NP) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2018-06-28 |