NPI | 1144666066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.06052) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH COA06052-NS) |
Enumeration Date | 2013-05-18 |
Last Update Date | 2019-01-29 |