NPI | 1295589216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036993) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.519916) |
Enumeration Date | 2024-04-16 |
Last Update Date | 2024-07-31 |