NPI | 1316298664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021752) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012729) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024183269) | |
Enumeration Date | 2012-09-26 |
Last Update Date | 2022-12-09 |