NPI | 1780171355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH ARNP.CNP.022649) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 351961) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2020-12-17 |