NPI | 1588105449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038840) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002473) |
Enumeration Date | 2017-03-12 |
Last Update Date | 2025-05-01 |