NPI | 1750847216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 026308) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 403713) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2020-02-11 |