NPI | 1073054953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020999) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.309922) |
Enumeration Date | 2017-03-13 |
Last Update Date | 2024-09-19 |