NPI | 1033579610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031945) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.157270-M-IV) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031945) | |
Enumeration Date | 2016-02-25 |
Last Update Date | 2022-11-30 |