NPI | 1720848187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036423) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0036423) |
363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4017327) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 4017327) | |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-08-13 |