NPI | 1134768310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026316) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH RN.357958) |
Enumeration Date | 2020-01-05 |
Last Update Date | 2020-03-29 |