NPI | 1417395708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03229) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-86456) |
163W00000X Registered Nurse (Licence: OH 385688) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019658) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9421456) | |
Enumeration Date | 2013-06-07 |
Last Update Date | 2022-07-21 |