NPI | 1144834672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00032990) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.345604) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2021-01-19 |