NPI | 1144916545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017954) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0033006) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-08-22 |