NPI | 1295379782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0029166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1126012) |
163W00000X Registered Nurse (Licence: OH RN.362117) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3016032) | |
Enumeration Date | 2019-10-29 |
Last Update Date | 2024-01-02 |