NPI | 1568216448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0036772) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 456409) |
Enumeration Date | 2024-04-16 |
Last Update Date | 2024-10-09 |