NPI | 1720315625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028279) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 300643) |
Enumeration Date | 2009-11-13 |
Last Update Date | 2023-11-21 |