NPI | 1467949552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP022922) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022922) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-04-23 |