NPI | 1508362765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009072A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 022593) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2019-07-11 |