NPI | 1770082844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9326358) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037620) |
363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003101) | |
Enumeration Date | 2018-02-05 |
Last Update Date | 2025-10-09 |