NPI | 1679173785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025398) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH APRN.CNP025398) |
Enumeration Date | 2020-10-28 |
Last Update Date | 2024-05-20 |