NPI | 1558153346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039419) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 451397) |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-06-09 |