NPI | 1720317316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.354531) |
Enumeration Date | 2009-12-10 |
Last Update Date | 2023-02-22 |