NPI | 1851956874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024851) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 392385) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2019-07-22 |