NPI | 1932670833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0039667) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.411202) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2025-07-14 |