| NPI | 1992858989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 05223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 05223) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3003031) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28127004a) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9175833) | |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2019-02-18 |