NPI | 1548012255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28261495A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402704) |
Enumeration Date | 2024-04-04 |
Last Update Date | 2024-04-04 |