| NPI | 1992873251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV RN 70322) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 175353) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP07075) | |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: OH NS05612) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2010-10-20 |