NPI | 1700234077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.019561) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 410981) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2016-09-01 |