NPI | 1427409283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP019480) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 352804) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2021-12-15 |