NPI | 1073718383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027290) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN331420) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2022-02-11 |