NPI | 1881260982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014548) |
363LF0000X Nurse Practitioner, Family (Licence: NC WELL-7984F) | |
Enumeration Date | 2021-05-28 |
Last Update Date | 2023-02-07 |