NPI | 1679175384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00034661) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.370512) |
207Q00000X Family Medicine (Licence: OH LE-00034661) | |
Enumeration Date | 2020-11-09 |
Last Update Date | 2020-11-10 |