NPI | 1124634787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026079) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 026079) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2024-11-06 |