NPI | 1598426017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029994) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0029994) |
Enumeration Date | 2022-01-06 |
Last Update Date | 2024-10-11 |