NPI | 1689038010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020233) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010231) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2023-01-10 |