NPI | 1174944680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15574) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 338800) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH 338800) | |
Enumeration Date | 2013-12-31 |
Last Update Date | 2022-02-18 |