NPI | 1235484270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13346) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13346-NP) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2023-11-14 |