NPI | 1164065215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024931) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024931) |
Enumeration Date | 2019-10-22 |
Last Update Date | 2024-02-05 |