NPI | 1174223887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0034388) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 4497) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2023-12-27 |