NPI | 1922735000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034024) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN491521) |
Enumeration Date | 2022-08-08 |
Last Update Date | 2024-04-08 |