NPI | 1770232027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032181) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.396665) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2023-05-01 |