NPI | 1972100287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026834) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0026834) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-15 |