NPI | 1558983700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026760) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.423007) |
Enumeration Date | 2020-05-11 |
Last Update Date | 2022-06-13 |