NPI | 1578904116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14790) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14790) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2021-03-05 |