NPI | 1952854655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019571) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH f0616729) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-07-21 |