NPI | 1174984991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035507) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH F07230180) |
163W00000X Registered Nurse (Licence: NY 709597) | |
Enumeration Date | 2016-03-08 |
Last Update Date | 2024-10-08 |