NPI | 1184651465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-06660) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-0660) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2018-09-11 |