NPI | 1063003077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028330) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.308675) |
Enumeration Date | 2021-02-02 |
Last Update Date | 2024-11-21 |