NPI | 1588193171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.020940) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 415749) |
363LF0000X Nurse Practitioner, Family (Licence: OH 020940) | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2024-09-09 |