NPI | 1497802276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003478) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031165) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2022-08-19 |