NPI | 1407820715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 166238) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 17694) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2022-07-21 |