NPI | 1700658598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033836) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.435950) |
Enumeration Date | 2023-10-25 |
Last Update Date | 2023-10-25 |