NPI | 1295399327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.024860) |
Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: OH RN.414549) |
Enumeration Date | 2019-04-24 |
Last Update Date | 2024-09-12 |