NPI | 1598839854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 08324-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-287244) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2023-03-02 |