NPI | 1720531254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019903) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024257) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1097942) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209030510) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2024-09-19 |