NPI | 1750733341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019349) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.411187) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2016-10-27 |