NPI | 1497105720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019442) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0616049) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2022-03-21 |