NPI | 1437771458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019849) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 59831) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026550) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026550) | |
363LF0000X Nurse Practitioner, Family (Licence: IN 71011128A) | |
Enumeration Date | 2020-05-13 |
Last Update Date | 2023-04-25 |