NPI | 1548713449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19202) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.318061) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19202) | |
Enumeration Date | 2016-07-27 |
Last Update Date | 2024-07-22 |