NPI | 1003309535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH RN.357862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023770) |
163W00000X Registered Nurse (Licence: OH RN.357862) | |
Enumeration Date | 2018-06-09 |
Last Update Date | 2023-10-04 |