NPI | 1922759018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030573) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036201) |
Enumeration Date | 2022-01-11 |
Last Update Date | 2024-11-05 |