NPI | 1437828969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 237016) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032069) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015056) | |
Enumeration Date | 2021-09-08 |
Last Update Date | 2025-03-20 |