NPI | 1457037996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034151) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.43021) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2024-01-18 |