NPI | 1962056226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028428) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 380229) |
Enumeration Date | 2019-07-25 |
Last Update Date | 2021-12-26 |