NPI | 1962715946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002711) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 341372) |
363LF0000X Nurse Practitioner, Family (Licence: OH 18092) | |
Enumeration Date | 2010-07-20 |
Last Update Date | 2023-01-10 |