NPI | 1295390607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024739) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402365) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2024-09-09 |