NPI | 1659923563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024667) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 404285) |
Enumeration Date | 2019-07-10 |
Last Update Date | 2023-10-23 |