NPI | 1710675947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 118853) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.506659) |
Enumeration Date | 2023-04-26 |
Last Update Date | 2024-05-09 |