NPI | 1700184306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010554A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 12215 NP) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3007964) | |
Enumeration Date | 2011-03-05 |
Last Update Date | 2023-03-01 |