NPI | 1467933671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.036366) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.341978) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.025255) | |
Enumeration Date | 2018-08-25 |
Last Update Date | 2021-07-27 |