NPI | 1174858021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020524) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.326111) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2021-05-26 |