NPI | 1770864829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 17990) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 263283) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2021-08-31 |