NPI | 1235250218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA19062NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9243545) |
363LF0000X Nurse Practitioner, Family (Licence: WI 3453-33) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 0024170147) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024170147) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-12-15 |