NPI | 1689318719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035194) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH RN451174) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2024-07-16 |