NPI | 1427464494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16059-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.307907-COA1) |
Enumeration Date | 2014-07-10 |
Last Update Date | 2019-07-27 |