NPI | 1831961440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034547) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485038) |
Enumeration Date | 2023-10-26 |
Last Update Date | 2023-10-26 |