NPI | 1235647033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022195) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 022195) |
Enumeration Date | 2018-01-15 |
Last Update Date | 2018-06-13 |