NPI | 1205230356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 17479-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 382482) |
363L00000X Nurse Practitioner (Licence: KY 3010119) | |
Enumeration Date | 2014-10-17 |
Last Update Date | 2017-10-16 |