NPI | 1518239144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP#12729-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY ARNP#3007219) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2019-12-13 |