NPI | 1881357853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030253) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE00038882) |
Enumeration Date | 2021-10-18 |
Last Update Date | 2022-01-05 |