NPI | 1518518919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025761) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00030116) |
Enumeration Date | 2019-09-26 |
Last Update Date | 2022-08-28 |