NPI | 1902423098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN0033194) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1034172) |
207Q00000X Family Medicine (Licence: VA 0024178804) | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-07-28 |