NPI | 1700508769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030033) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3018160) |
Enumeration Date | 2022-09-16 |
Last Update Date | 2022-12-30 |