NPI | 1770160194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027186) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 106796) |
363L00000X Nurse Practitioner (Licence: KY 3014378) | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2023-12-04 |