NPI | 1023342284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015708) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.11012-NP) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2024-06-06 |