NPI | 1598306318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025842) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 104726) |
163W00000X Registered Nurse (Licence: WV 92886) | |
Enumeration Date | 2019-10-02 |
Last Update Date | 2020-01-31 |