NPI | 1801179312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12669-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP12669) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2022-11-14 |