NPI | 1386634327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.06760) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA155215) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2018-08-27 |