NPI | 1215496310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024395) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211274) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-12-20 |