NPI | 1487104071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020006) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH CNP020006) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2020-07-13 |