NPI | 1871996496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020654) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH APRN.CNS.16279) |
Enumeration Date | 2014-09-28 |
Last Update Date | 2020-05-21 |