NPI | 1770038481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011736) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP19226) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2022-08-24 |