NPI | 1710642061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0029961) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029961) |
Enumeration Date | 2021-11-02 |
Last Update Date | 2021-11-02 |