NPI | 1598912206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN289179) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 326820) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019426) | |
363LF0000X Nurse Practitioner, Family (Licence: SC 28380) | |
Enumeration Date | 2008-08-25 |
Last Update Date | 2024-04-09 |