NPI | 1811342041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN370745) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-166368) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2019-10-21 |