NPI | 1104242205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15685-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 15685NP) |
Enumeration Date | 2014-03-13 |
Last Update Date | 2024-05-20 |