NPI | 1083222798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F10200702) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN350351) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-12-30 |