NPI | 1194267989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020194) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020194) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2018-05-15 |