NPI | 1750846424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 024145) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013129) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2021-04-09 |