NPI | 1700441862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 024608) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029234) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP031220) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 4028347) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012459) | |
Enumeration Date | 2019-05-04 |
Last Update Date | 2024-12-17 |