NPI | 1528197803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005348A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-04377) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2024-04-09 |