NPI | 1871361014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.NP.0034691) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP925010) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2023-12-18 |