NPI | 1760511414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171776) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-07991) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2025-08-15 |