NPI | 1396260824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021287) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.379073) |
Enumeration Date | 2017-08-05 |
Last Update Date | 2017-08-05 |