NPI | 1457788820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15099) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15099-NP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-15099) | |
Enumeration Date | 2013-10-01 |
Last Update Date | 2022-01-07 |