NPI | 1235651530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH A1012081) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI A1012081) |
Enumeration Date | 2017-07-09 |
Last Update Date | 2022-09-12 |