NPI | 1891266441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023989) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH APRN.CNP.023989) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2020-11-18 |