NPI | 1023598307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28220993A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0037673) |
363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2744) | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2024-10-28 |