NPI | 1609370378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 022529) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 022529) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2020-06-26 |