NPI | 1376902247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010086) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030680) |
Enumeration Date | 2016-02-19 |
Last Update Date | 2022-08-22 |