NPI | 1851632921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021171) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 385184) |
363LF0000X Nurse Practitioner, Family (Licence: OH LE-00020251) | |
Enumeration Date | 2013-03-13 |
Last Update Date | 2022-07-21 |