NPI | 1174291512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3016682) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0029447) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2021-10-05 |