NPI | 1164865341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18106) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH APRN.CNS.14402) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2020-12-04 |