NPI | 1215458054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021478) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH LE-00020270) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.021478) | |
Enumeration Date | 2017-07-02 |
Last Update Date | 2023-06-02 |