NPI | 1386130094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023069.) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06181709) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2021-12-30 |