NPI | 1104306661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023565) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.428732) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-31 |