NPI | 1134667199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500226275) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.360194) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2025-07-16 |