NPI | 1427553379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022627) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.342394) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2020-06-24 |