NPI | 1457967614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028526) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704258034) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028526) | |
Enumeration Date | 2020-09-22 |
Last Update Date | 2023-11-03 |