NPI | 1750128591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037173) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 258553) |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-07-30 |