NPI | 1255430187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223527) |
Additional Taxonomies | 174H00000X Health Educator |
363L00000X Nurse Practitioner (Licence: OH COA.06464-NP) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2023-09-15 |