NPI | 1265871461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039976) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2352462) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2025-08-11 |