NPI | 1881236545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031161) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9393594) |
363L00000X Nurse Practitioner (Licence: FL APRN11017030) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017030) | |
Enumeration Date | 2019-10-15 |
Last Update Date | 2023-05-08 |