NPI | 1902950249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14431) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN249866) |
363LF0000X Nurse Practitioner, Family (Licence: OH RN.249866-COA1) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-04-30 |