NPI | 1952889883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.025921) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4704279213) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2024-01-30 |