NPI | 1043977911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030199) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 0030199) |
Enumeration Date | 2021-11-26 |
Last Update Date | 2023-02-08 |