NPI | 1295349397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027625) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017674) |
Enumeration Date | 2020-09-04 |
Last Update Date | 2024-10-07 |