NPI | 1497005334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 13853-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 13853) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2023-08-16 |