NPI | 1912320037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP16047) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001636) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00499700) | |
Enumeration Date | 2014-01-24 |
Last Update Date | 2015-08-16 |