NPI | 1245091966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH RN287044) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN581494) |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-19 |