NPI | 1376994350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP019519) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.370762) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2017-02-21 |