NPI | 1821420795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH Coa 14842) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 351591) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2023-05-08 |