| NPI | 1871640417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 249462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R168466) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.08278-NP) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5003017) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-07-21 |