NPI | 1811319551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308724) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15084) |
Enumeration Date | 2014-01-15 |
Last Update Date | 2018-10-23 |