NPI | 1659032530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030448) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH APRN.CNP.0030448) |
Enumeration Date | 2022-01-04 |
Last Update Date | 2023-11-08 |