NPI | 1447234190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP022600) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 6321) |
363LF0000X Nurse Practitioner, Family (Licence: TN 6321) | |
Enumeration Date | 2005-12-05 |
Last Update Date | 2018-07-26 |