NPI | 1801525175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031540) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.415606) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2023-07-17 |