NPI | 1851609549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11930NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006700) |
363L00000X Nurse Practitioner (Licence: OH 11930NP) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006700) | |
Enumeration Date | 2010-09-16 |
Last Update Date | 2021-10-06 |