NPI | 1528419223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP022182) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3177882) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024184397) | |
Enumeration Date | 2016-06-24 |
Last Update Date | 2024-10-23 |