NPI | 1427538081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH APRN.CNP.023496) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F08180245) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2021-12-27 |