NPI | 1598395113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027541) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95279407) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95020657) | |
163W00000X Registered Nurse (Licence: OH RN.458401) | |
Enumeration Date | 2020-01-23 |
Last Update Date | 2023-10-17 |