NPI | 1861445868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP07640) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1097763) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-02-14 |