NPI | 1992271654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024090) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.393438) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2019-03-01 |