NPI | 1699427724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018152) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0029070) |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-01-20 |