NPI | 1871527705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 022935) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-266928) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WV APRN70101-ANP-BC) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-07-01 |