NPI | 1487838694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.283085) |
Enumeration Date | 2007-12-24 |
Last Update Date | 2022-12-14 |