NPI | 1689815524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA10443NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN185319COA1) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2023-01-30 |