NPI | 1568694800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.05039) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.05039-NP) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2022-01-07 |