NPI | 1629362199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038371) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196047A) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9244530) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3006942) | |
Enumeration Date | 2011-06-02 |
Last Update Date | 2025-01-09 |