NPI | 1285075655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 14546) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14546) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2018-03-17 |