NPI | 1417239914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9376132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0811063) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2021-07-29 |