NPI | 1053890087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022782) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022782) |
Enumeration Date | 2018-08-10 |
Last Update Date | 2021-06-02 |