NPI | 1841613791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15154) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA 15154) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2023-05-11 |