NPI | 1770673980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA09109NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.09109) |
363LF0000X Nurse Practitioner, Family (Licence: OH NP09109) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2021-03-03 |