NPI | 1316313109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 17503) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP030729) |
Enumeration Date | 2015-08-15 |
Last Update Date | 2024-09-24 |