NPI | 1245071836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033173) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.491341) |
163W00000X Registered Nurse (Licence: PA RN803024) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036063) | |
Enumeration Date | 2024-06-05 |
Last Update Date | 2025-08-26 |