NPI | 1538614292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019540) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 256340) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2016-08-23 |