NPI | 1851948616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035183) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN387443) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2023-12-12 |