NPI | 1750724928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22881) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028724) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2021-10-22 |