NPI | 1780876094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2313519) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4144) |
363LF0000X Nurse Practitioner, Family (Licence: OH 368105) | |
Enumeration Date | 2007-08-10 |
Last Update Date | 2019-02-04 |