NPI | 1821323569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024746) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 353502) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2024-06-17 |