NPI | 1982013751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18964) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18964) |
363LF0000X Nurse Practitioner, Family (Licence: OH 0037468) | |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704416945) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024189922) | |
Enumeration Date | 2014-08-06 |
Last Update Date | 2024-09-09 |