NPI | 1659808558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP020769) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011176) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2017-05-23 |