NPI | 1518616861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN-CNP-0031587) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485484) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2022-10-28 |