NPI | 1114993003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA01300NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-135221) |
163W00000X Registered Nurse (Licence: OH 135221) | |
Enumeration Date | 2006-02-28 |
Last Update Date | 2015-10-08 |