NPI | 1477292431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 0031472) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 31476) |
Enumeration Date | 2022-05-28 |
Last Update Date | 2023-05-01 |