NPI | 1235152851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP07432) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-235578) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2021-04-19 |