NPI | 1871727180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN218955) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 258017) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2022-01-07 |