NPI | 1033221643 |
---|---|
Former Name | SANDRA LORRAINE WASMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN-105963) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-00969) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |