NPI | 1831587898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16828) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16828-NP) |
Enumeration Date | 2014-12-29 |
Last Update Date | 2022-12-05 |