NPI | 1508873332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07512) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA NP-07512) |
363LF0000X Nurse Practitioner, Family (Licence: OH 07512) | |
364S00000X Clinical Nurse Specialist (Licence: OR 200770004CNS-PP) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2023-03-07 |