NPI | 1568962355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022183) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 399434) |
Enumeration Date | 2018-02-18 |
Last Update Date | 2020-11-19 |