NPI | 1689043408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029732) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 397399) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2021-09-10 |