NPI | 1083203665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0028286) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH LE-00035116) |
Enumeration Date | 2021-01-18 |
Last Update Date | 2025-03-20 |