NPI | 1669758140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F09220047) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.131089-M-IV) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2022-11-10 |