NPI | 1053825042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021255) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345534-01) |
Enumeration Date | 2017-11-29 |
Last Update Date | 2021-01-20 |