NPI | 1396116620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.287629.1) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18235) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2020-01-17 |