NPI | 1982856274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 18116) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R135472) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2022-07-21 |