NPI | 1376876144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10946-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.10946-NP) |
Enumeration Date | 2009-09-11 |
Last Update Date | 2023-11-06 |