NPI | 1831504943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP16079) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP16079) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2016-09-09 |