NPI | 1659731644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18798-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017232) |
Enumeration Date | 2016-03-03 |
Last Update Date | 2024-03-25 |