NPI | 1245814177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028671) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704317969) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2021-05-06 |