NPI | 1508494279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 23264-875) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 026370) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2023-08-01 |