NPI | 1972866424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018811) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13694) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13694) | |
Enumeration Date | 2012-06-20 |
Last Update Date | 2022-07-21 |