NPI | 1518565670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028737) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 376525) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2022-06-08 |