NPI | 1952857609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030656) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 435584) |
163W00000X Registered Nurse (Licence: OH RN.435584) | |
164W00000X Licensed Practical Nurse (Licence: OH LPN.159098.MEDS-IV) | |
Enumeration Date | 2016-08-31 |
Last Update Date | 2024-08-29 |