NPI | 1386337327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033684) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018996) |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-09-28 |