NPI | 1851982334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R50494) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1028676) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035777) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035777) | |
Enumeration Date | 2021-01-28 |
Last Update Date | 2024-02-26 |