NPI | 1013416973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23916) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037988) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3018092) | |
Enumeration Date | 2018-02-06 |
Last Update Date | 2025-09-15 |