NPI | 1255409108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 09096) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4967P) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2023-04-27 |