NPI | 1346591815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP13356) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13356-NP) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2022-03-23 |