NPI | 1265583785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15269) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA15269NP) |
363L00000X Nurse Practitioner (Licence: CA N.P. 15826) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-11-16 |