NPI | 1760844575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019376) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.368085) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-07-25 |