NPI | 1740873173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F01211368) |
Enumeration Date | 2021-02-17 |
Last Update Date | 2024-08-21 |