NPI | 1932622123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022230) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018091) |
363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0100548-C-NP) | |
Enumeration Date | 2017-07-20 |
Last Update Date | 2024-08-14 |