NPI | 1578192290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 026329) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 105510) |
Enumeration Date | 2020-04-04 |
Last Update Date | 2024-03-27 |