NPI | 1306660139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0036837) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 306658) |
363LF0000X Nurse Practitioner, Family (Licence: OH 2024007257) | |
Enumeration Date | 2024-11-08 |
Last Update Date | 2024-11-08 |