NPI | 1114968344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.03795.NA) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA03795NP) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2016-04-26 |