NPI | 1831691732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028881) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2404) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2023-08-21 |