NPI | 1093951204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.10412-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-10412) |
Enumeration Date | 2008-12-18 |
Last Update Date | 2021-05-26 |