NPI | 1528409828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-17871) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010434) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17871) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2021-09-21 |