NPI | 1578008553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007193A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172708A) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037696) | |
Enumeration Date | 2016-12-29 |
Last Update Date | 2024-10-08 |