NPI | 1255300539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3874) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP00248) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2016-11-22 |