NPI | 1326760885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031039) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017172) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-04-03 |