NPI | 1992299036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.CNP.0027907) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.412126) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 12487) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 213101) | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2023-12-13 |