NPI | 1407302011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19067) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP19067) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-03-11 |