NPI | 1568795961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 10995) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10995) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2021-02-25 |