NPI | 1316504723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024763) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH RN.392741) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024763) | |
Enumeration Date | 2019-05-21 |
Last Update Date | 2021-02-24 |