NPI | 1255816211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023801) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 451533) |
Enumeration Date | 2018-09-26 |
Last Update Date | 2018-10-26 |