NPI | 1144704875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027680) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-137420) |
Enumeration Date | 2018-09-19 |
Last Update Date | 2022-01-25 |