NPI | 1396301982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025035) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH F05190270) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2021-11-02 |